به كارگيري پلورال تنت پس از لوبكتومي هاي لوب فوقاني ريه در بيماران بيمارستان امام خميني (ره ) تهران سال 80-1378

The effects of pleural tenting in preventing complications after upper lobectomies, Imam Hospital, Tehran

Background and purpose : Apical residual air space and prolonged air leakage are not uncommon entities following resection of upper lobe of the lung. This study was carried out to observe the efficacy of the pleural tenting in preventing complications. Materials and methods : This is a case series study that compared with historical control. Pleural tenting after upper or upper and middle lobectomies was performed in 10 patients. In another 12 patients who underwent upper lobectomy or bilobectomy, pleural tenting was not performed. Both groups were compared with respect to duration of post operative air leak, drainage and hospital stay and need for any additional intervention for prolonged airleak. Results : Age, sex, pathology and pulmonary function test of two groups were similar. Duration of the chest tube air leakage was shorter in those pleural tenting was performed on when compared to whom pleural tenting was not performed (2.6 ± 1.1 days versus 9.1 ± 8.1 days). Mean hospital stay was shorter in tented group (5.2 ± 1 days versus 10.8 t 7.5). Conclusion : Pleural tenting following upper lobectomy or bilobectomy of the lung shortens the duration of the chest tube drainage and hospital stay and it prevents apical residual airspace and related complications. Pleural tenting is a safe and relatively simple procedure, which has no associated morbidity.